Methodist Health, Inc. – Pediatrics Physician

Key facts

NPI: 1457784126
Entity type: Organization (NPI type 2)
Primary specialty: Pediatrics Physician 208000000X
Legal business name: METHODIST HEALTH, INC.
Practice address: 2000 N Elm St
Henderson, KY 42420-2385
Phone: (270) 827-3573
Fax: (270) 827-1250
NPI assigned: Aug 16, 2013
Organization subpart: No

Authorized official

Name: Stephanie Jenkins
Title: VP
Phone: (270) 827-7118

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Community United Methodist Hospital Inc Obstetrics & Gynecology Physician · Madisonville, KY · NPI 1639502966

Same enrollment O20031204000875
Community United Methodist Hospital, Inc. Cardiovascular Disease Physician · Henderson, KY · NPI 1720058290

Same enrollment O20031204000875
Methodist Health, Inc. Surgery Physician · Morganfield, KY · NPI 1003359084

Same enrollment O20031204000875
Methodist Health, Inc. Family Nurse Practitioner · Sebree, KY · NPI 1013192293

Same enrollment O20031204000875
Methodist Health, Inc. Orthopaedic Surgery Physician · Henderson, KY · NPI 1144412479

Same enrollment O20031204000875
Methodist Health, Inc. Neurology Physician · Henderson, KY · NPI 1144651431

Same enrollment O20031204000875
Methodist Health, Inc. Endocrinology, Diabetes & Metabolism Physician · Henderson, KY · NPI 1154567402

Same enrollment O20031204000875
Methodist Health, Inc. Cardiovascular Disease Physician · Henderson, KY · NPI 1194156364

Same enrollment O20031204000875
Methodist Health, Inc. Certified Registered Nurse Anesthetist · Henderson, KY · NPI 1225016801

Same enrollment O20031204000875
Methodist Health, Inc. Surgery Physician · Henderson, KY · NPI 1245547892

Same enrollment O20031204000875
Methodist Health, Inc. Emergency Medicine Physician · Morganfield, KY · NPI 1346463692

Same enrollment O20031204000875
Methodist Health, Inc. Family Medicine Physician · Henderson, KY · NPI 1346494671

Same enrollment O20031204000875
Methodist Health, Inc. Family Medicine Physician · Henderson, KY · NPI 1417264060

Same enrollment O20031204000875
Methodist Health, Inc. Family Medicine Physician · Dixon, KY · NPI 1427035476

Same enrollment O20031204000875
Methodist Health, Inc. Family Medicine Physician · Henderson, KY · NPI 1427290774

Same enrollment O20031204000875
Methodist Health, Inc. Gastroenterology Physician · Henderson, KY · NPI 1457640898

Same enrollment O20031204000875
Methodist Health, Inc. Family Medicine Physician · Henderson, KY · NPI 1518127638

Same enrollment O20031204000875
Methodist Health, Inc. Rural Health Clinic/Center · Morganfield, KY · NPI 1548248123

Same enrollment O20031204000875
Methodist Health, Inc. Family Medicine Physician · Henderson, KY · NPI 1578997482

Same enrollment O20031204000875
Methodist Health, Inc. Family Medicine Physician · Henderson, KY · NPI 1609018951

Same enrollment O20031204000875
Methodist Health, Inc. Pediatrics Physician · Henderson, KY · NPI 1639334261

Same enrollment O20031204000875
Methodist Health, Inc. Hospitalist Physician · Henderson, KY · NPI 1679718100

Same enrollment O20031204000875
Methodist Health, Inc. Obstetrics & Gynecology Physician · Henderson, KY · NPI 1821076415

Same enrollment O20031204000875
Methodist Health, Inc. Hematology & Oncology Physician · Henderson, KY · NPI 1861708653

Same enrollment O20031204000875

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Bradley James Bilbro, DO Family Medicine Physician · Madisonville, KY · NPI 1659893337

NPD
Zarna J Dahya, MD Hospitalist Physician · Henderson, KY · NPI 1548559032

NPD
Eric Douglas Ervin, MD Pediatrics Physician · Henderson, KY · NPI 1225105596

NPD PEDIATRICS
Harold Dale Haller Jr., MD Pulmonary Disease Physician · Louisville, KY · NPI 1972577823

NPD
Rami Jambeih, MD Pulmonary Disease Physician · Louisville, KY · NPI 1538397245

NPD
Jennifer Nicole Melton, APRN Nurse Practitioner · Owensboro, KY · NPI 1942849351

NPD NURSE PRACTITIONER
Jeffrey R Miller, MD Diagnostic Radiology Physician · Henderson, KY · NPI 1134114960

NPD
Talia Jeanne Nesmith, MD Family Medicine Physician · Lexington, KY · NPI 1477716421

NPD
Karen Wood Palmer, DO Internal Medicine Physician · Louisville, KY · NPI 1134324239

NPD
Jessica L Utley, NP-C Nurse Practitioner · Henderson, KY · NPI 1528697869

NPD NURSE PRACTITIONER
Rana Beg, M.D. Hospitalist Physician · Miami Beach, FL · NPI 1962784165

NPD
Jenny Elyse Camacho, M.D. Neonatal-Perinatal Medicine Physician · Newburgh, IN · NPI 1861768780

NPD PEDIATRICS
William Cho, MD Internal Medicine Physician · Corydon, IN · NPI 1821397407

NPD
Renjithkumar Kalikkot Thekkeveedu, MD Neonatal-Perinatal Medicine Physician · Jackson, MS · NPI 1851659353

NPD
James J Laguardia, M.D. Neurology Physician · Cape Girardeau, MO · NPI 1790766996

NPD
Giselle Marie Marrero-Clemente, M.D. Neonatal-Perinatal Medicine Physician · San Juan, PR · NPI 1376746230

NPD PEDIATRICS
Tabicia Linn Mattingly, APRN Family Nurse Practitioner · Evansville, IN · NPI 1457987877

NPD NURSE PRACTITIONER
Danisha Shavonne McCall, MD Neonatal-Perinatal Medicine Physician · Newburgh, IN · NPI 1922364322

NPD PEDIATRICS
Amanda J Miley, CNS Clinical Nurse Specialist · Evansville, IN · NPI 1235653908

NPD
David Aaron Rosen, MD Hospitalist Physician · Asheboro, NC · NPI 1558458463

NPD
David Scot Sandage, PMHNP-BC Nurse Practitioner · Evansville, IN · NPI 1083276463

NPD NURSE PRACTITIONER
Rupinder K Sandhu, MD Hospitalist Physician · Fredericksburg, VA · NPI 1962498741

NPD
Fatoumatta Bintou Sissoho, MD Hospitalist Physician · Towson, MD · NPI 1518452556

NPD
Andrea Skaggs, MD Family Medicine Physician · Corydon, IN · NPI 1932174778

NPD
Joel Latimer Smith III, MD Pediatrics Physician · Saint Louis, MO · NPI 1699260026

NPD PEDIATRICS

View all 28

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20031204000875	KY	Part B Supplier - Clinic/Group Practice	4981508454	Receives reassigned benefits from 127 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Morganfield, KY; Henderson, KY; Dixon, KY

National Provider Directory

Locations

1971 Barrett CT Ste B
Henderson, KY 42420

2000 N Elm St
Ste 1B4
Henderson, KY 42420

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Pediatrics Physician Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	208000000X	Yes
Nurse Practitioner Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	363L00000X
Family Nurse Practitioner Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	363LF0000X
Pediatric Nurse Practitioner Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	363LP0200X

Addresses

Primary practice location

2000 N Elm St
Henderson, KY 42420-2385

Mailing address

PO Box 638706
Cincinnati, OH 45263-8706
Phone (270) 827-3573

Other identifiers

Identifier	Type	State	Issuer
7100279200	Medicaid	KY

Other names

Deaconess Henderson Pediatrics Elm St Doing business as

Other providers in Henderson, KY

All providers in Henderson, KY · Pediatrics Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.